Inspection on 17/03/08 for The Newlyn Residential Home

This inspection was carried out on 17th March 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Newlyn Residential Home 30/01/07

The Newlyn Residential Home 15/11/05

The Newlyn Residential Home 28/06/05

The Newlyn Residential Home 13/01/05

The Newlyn Residential Home 07/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Newlyn Residential Home 2 Cliftonville Avenue Newington Ramsgate Kent CT12 6DS Lead Inspector Jenny McGookin Unannounced Inspection 10:25 17 March 2008 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Newlyn Residential Home Address 2 Cliftonville Avenue Newington Ramsgate Kent CT12 6DS 01843 589191 01843 589191 cherylgoldsmith@fsmail.net Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (If applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Linda Joyce Goldsmith Mrs Linda Joyce Goldsmith Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User, whose date of birth is 26/11/1940 may be admitted into the Home. 30/01/07 Date of last inspection Brief Description of the Service: The Newlyn Residential Home provides residential care for up to 13 older people who require varying degrees of assistance. The home has access to all necessary specialist services within the community. The home is located in the Newington area of Ramsgate close to local amenities including post office, general store and medical centre. Staffing comprises of the Registered Owner, Deputy Manager, care and ancillary staff. The home is a family run business with the owner having a high level of input into the home. Fees range from £311 to £411 per week. Additional charges are made for chiropody, hairdressing, newspapers and some personal toiletries. Information on the Home’s services and the CSCI reports for prospective service users should be detailed in the Statement of Purpose / Service User Guide. The e-mail address for this home is: cherylgoldsmith@fsmail.net The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit, which was used to inform this year’s key inspection process and to check on any developments since the last available inspection report (January 2007), given all the timeframes had run their course. The inspection process took nine and a quarter hours. It involved meetings with three residents (over lunch), four relatives, the manager and deputy manager, a care assistant and a visiting course leader from Thanet College. Interactions between staff and residents were observed throughout the day. The inspection also involved the examination of records and the selection of three residents’ case files, to track their care. The home had submitted an Annual Quality Assurance Assessment (AQAA) in advance of the site visit, as required. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives some numerical information about the service. This was judged a well written, comprehensive account of the issues raised, which reflected provision fairly. A selection of feedback questionnaires was taken to the inspection for distribution to residents and other stakeholders, and most were submitted in good time to be taken into account in this report - 16 responses representing 5 residents, 4 relatives, 4 staff, and 3 healthcare professionals. Four bedrooms were inspected for compliance with the National Minimum Standards on this occasion, along with communal areas / facilities. What the service does well: The location of this home is generally suitable for its stated purpose (close to transport links and community resources) and reasonably convenient for visitors (given most live locally and would not require car parking facilities) and the property is being maintained to a very satisfactory standard. The social, health and personal care needs of the residents are well addressed, and there is input from a range of healthcare professionals and other specialists as required. There appear to be sufficient management and staffing resources in place to keep people safe. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 6 The meals tend to be traditional English home cooking. There is a choice of meals and individual preferences are being catered for. The standard of catering was judged one of this home’s key strengths. This home is generally viewed very positively by those using its services. Residents are consulted and are afforded choices on a day to day basis. Relatives spoken with on the day of this visit expressed a high level of satisfaction with the services provided. Overall, there was a high level of compliance being maintained with the National Minimum Standards throughout the inspection process. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 1, 3, 4, 5, 6 The home can evidence that incoming residents (or their representatives) are being given written information about the home, to help them decide whether this home will meet their needs. The home’s combined Statement of Purpose and Service User Guide will only require some minor attention to ensure they provide all the information prescribed by the National Minimum Standard, so that the home can be fully confident that prospective residents and their representatives are fully informed. Prospective residents benefit by assessments carried out before their admission, to ensure that the home can meet their needs. EVIDENCE: The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 9 The home’s Statement of Purpose and Service User Guide have been combined into one document, which usefully provides a range of information on the home, its principles of care and its facilities and services. A few minor matters still require attention in respect of these documents, to obtain full compliance with all the elements of the National Minimum Standards, so that the home can be fully confident that prospective residents and their representatives have all the information they should have to make an informed choice of home. The detail has been reported back to the home separately. The manager also reports providing prospective residents with photographs of the home and their allocated bedroom to help them visualise their new home. This is judged exemplary practice, where it can be evidenced in records. The decision to come into this home seems to have been strongly influenced by its locality (close to where the residents or their relatives lived) or by recommendation and reputation. The residents spoken to on this occasion were not able to recall the preadmission process in any detail, but their relatives confirmed (in feedback questionnaires and in direct conversations with the inspector) that they were given enough information to make their choice. Records confirm that an assessment of needs is carried out before each admission, which records confirm would also take into account assessments and care plans set up either by the relevant funding authority or by other providers, and are developed thereon. There are opportunities for residents or their representatives to visit the home before admission to assess its suitability for themselves (a couple of them recalled doing so), and there is a trial stay. Records confirm that each admission is confirmed by a contract. This home does not provide intermediate care. See sections on “Environment” and “Health and Personal Care” for findings in respect of the home’s capacity to meet the needs of its residents. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 7, 8, 9, 10 Residents benefit from the health and personal care they receive at this home, and records reflect the level of care given. The principles of respect, dignity and privacy are put into practice EVIDENCE: Three residents’ files were selected for case tracking on this occasion, to represent admissions over the past three years and these were followed through with discussions with residents (where they were able and willing) and staff. Each resident has a plan of care based on the initial preadmission assessment and previous care plan provided by funding authorities. The care plans properly set out, in generally good practical detail, the action, which needs to be taken by care staff to ensure that all aspects of the health and personal care needs of the residents are met. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 11 And care plans are properly underpinned by daily reports (which have been designed to reduce the time being spent maintaining a range of other records) and a range of risk assessments, both generic and specific - covering the individuals, their behaviour, activities and their environments. The home operates a key worker system to help establish a rapport and provide some continuity of care. Records confirmed that each care plan was being reviewed in-house, at least monthly and whether changes were warranted. Signatures confirmed in each case that residents or their relatives / representatives are actively engaged in the care planning and risk assessment processes. The relatives spoken to on this occasion were familiar with these process, and all three residents recalled being asked questions about their care on a day-to-day basis. The Commission’s own quality assurance feedback exercises confirmed a sound level of satisfaction with the level of care given. With three exceptions, all the bedrooms in this home are single occupancy, which means health and personal care can generally be given in privacy. Residents and relatives confirmed that the daily routines are as flexible as healthcare needs and staffing levels will allow. Records confirm that the residents’ health is monitored regularly. And records confirm they have access to a range of medical services, according to need. Residents would need to pay for chiropody, opticians, and hearing aids or any special or private treatment or medication themselves. The manager reports that residents can access GPs of their choice, where GPs are in agreement. Positive feedback was obtained from two GPs – one commented “We as GPs are very satisfied”. The home uses the Monitored Dosage System (MDS) of medication, and its medication trolley is kept properly secured when not in use. It also has a dedicated medication fridge and a cabinet for controlled drugs, should these be prescribed. The home keeps a list of signatures of staff authorised to administer medication, and records confirm a good level of investment in training, to keep people safe. There were no apparent gaps or anomalies in the medication administration record (MAR) charts seen. The home also has ready access to the latest copy of The Royal Pharmaceutical Guidance, for reference, and keeps but its copy of the British National Formulary will require updating, to properly safeguard the arrangements. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectation and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local c Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surrounding The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 12, 13, 14, 15 Residents benefit from a life style of their choosing, and are provided with social activities. Residents are supported to keep in contact with family and friends. Residents benefit from a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: Although initial assessments include the identification of social interests, hobbies and religion, there was an overwhelming health and personal care bias in the care planning documentation seen thereon. The residents and staff spoken to on this occasion were not able to give many examples of current activities at this home, but there is an activities programme on display in the hallway. Examples include individuals coming in to run music sessions, and art classes (one resident is reported to be very talented). There are traditional seasonal events like pantomimes at Christmas, making Easter bonnets for a competition, and residents make greetings cards. Mothers’ Day is celebrated and there are parties involving non-alcoholic wine The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 13 and open buffets. There are games (cards, hoop games for co-ordination), exercise sessions and stock of reminiscence material. Residents said that they were generally very content with their lifestyles in this home. Although the home can get busy (as one member of staff said “no two days are the same”), motivation appears to be a problem at times. “I don’t know if residents always want it”. Records are not being maintained on the extent to which individuals participate – this is recommended, so that the social care needs can be evaluated. One member of staff said she would like training activities and on motivating residents. There is a choice of communal areas (including a quiet room). Some of the residents clearly preferred their own company and would read, watch the television or listen to the radio rather than join in with any group activities, and their choice is respected. The daily routines are as flexible as healthcare needs will allow. The home has open visiting arrangements, and meals can be provided for visitors. There is a communal payphone on the ground floor, and a cordless handset, which can be taken into bedrooms for residents’ use in privacy (at no charge). Residents could also arrange to have their own lines installed at their own expense. Catering needs and preferences are properly established in the first instance as part of the admission process, and amended or updated thereon. There is a 5week menu, involving two hot and cold options in each case. Records and feedback confirm that the menu (generally, traditional English fare) is varied and some special needs (e.g. three residents are diabetic) are catered for. There was abundant evidence of the extent to which individual preferences are being met. One resident will, for example, only have a particular brand of butter. One will only have Irish sausages and certain kinds of ham. One will only eat chicken. One will only have hamburger, but not beef burger. This list of examples is not exhaustive. The residents spoken to and surveyed on this occasion said they were generally very satisfied with the meals. Comments included “Perfect”, “Excellent”, “Very good”, “home cooking rather than catering cooking”, and “According to my mother it’s excellent and what she’s eating now I’ve never seen her eat so much food”! A lunch was sampled and judged well cooked and presented. Where residents required assistance, this was done with sensitivity and patience. Since the last inspection, kitchenette facilities have been introduced into the dining room, so that residents and their visitors can enjoy beverages and snacks at other times too. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 16,18 The processes are in place to enable complaints to be taken seriously and investigated, to benefit residents. Residents have access to information on independent agencies they can call upon to protect their rights. Residents are protected from abuse. EVIDENCE: This home has a complaints procedure, which is detailed in its Statement of Purpose/Service User Guide. The owner/manager will need to remove its reference to the CSCI as the lead agency, once the new arrangements are publicised. Information supplied in the home’s AQAA indicated that no complaints had been registered over the past twelve months. This is not usually judged a realistic reflection of communal living, but for the high level of satisfaction expressed by residents on the day of this visit. Feedback confirmed that residents and their relatives all knew who to tell if they had any complaints, but went on to say that this had not in practice been warranted. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 15 There are regular group meetings with the residents, to share information and obtain their views, and there is information on an independent advocacy service on display (though there has been no take-up so far). Otherwise residents would need to rely on relatives or friends to represent their interests, where they are not able to do this for themselves. The manager reports that residents are supported with their right to vote. In separate discussions with the inspector, the deputy manager and carer each confirmed their commitment to report any instances of adult abuse, though they each went on to say that this had not been warranted in this home. The last inspection (January 2007) established that the home had a policy on whistle blowing, to assure staff that they can raise concerns without fear of reprisal, and there was evidence (anecdotal and on record) of training for staff on safeguarding adults, to keep people safe. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 19, 20, 21, 22, 23, 24, 25, 26 Residents benefit by this well-maintained and comfortable environment. The physical design and layout of the home generally enable residents to live in safety. EVIDENCE: The layout of this home is generally suitable for its registered purpose, accepting that the manager’s several attempts to obtain planning permission to improve provision by building an extension to provide a shaft lift, en-suite bedrooms and extra day space have not been successful so far. All the areas of the home inspected were found to be homely, comfortable and clean. Since the last inspection, the hallway, dining room and woodwork have been redecorated, to make these areas more light and airy. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 17 The furniture tends to be domestic in style and there were homely touches throughout. The rear garden, although monopolised by car parking facilities features pleasant discrete focal points and congenial areas to walk or sit in. The home has a “No Smoking” policy, and won a “Smoke-free Award” by Thanet District Council in March 2008. The three lounge facilities are all on the ground floor. The dining room is at the centre of the home and is linked to the kitchen, which is light, airy, clean and well maintained. All the chairs (dining and lounge) belong to suites and are therefore uniform in style – a range of chairs (e.g. some with arms, or set at different heights) would give residents more choice. This home has four communal WCs, a shower room (on the ground floor) and a bathroom with a hoist (on the 1st floor). Six bedrooms are, moreover, ensuite i.e. all facilities are reasonably accessible to bedrooms and communal areas, so that residents have a choice. All the bedrooms are spacious and, with three exceptions, single occupancy. Four bedrooms were inspected and found to be well maintained and personalised. In terms of their furniture and fittings, they were generally compliant with the provisions of the National Minimum Standards, but did not all have two comfortable chairs – the manager was advised that non-provision must be justified by documented risk assessment or consultation. Every bedroom also has a television. The range of adaptation and equipment at this home includes a ramp to the front door; grab rails, toilet frames and hoists. Each room is connected to a call bell system and the temperature of the radiators and hot water outlets is thermostatically controlled and checked regularly, to keep people safe. The home has two washing machines, one of which has a sluice cycle. Continence appears to be managed adequately at this home. There were no unpleasant odours. All property maintenance records seen were up to date and in good order. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 27, 28, 29, 30 Residents benefit from an adequate number of staff who care for, understand and anticipate their needs and wishes. And they are protected by the systems within the home for staff recruitment and training. EVIDENCE: The manager described the following staffing arrangements. The working / waking day is from 8.00am till 10.00pm. Visitors should expect to find two carers (8-1 or 8-5, 5-9 or 5-10). The manager and assistant manager work from 9am till 5pm (Monday to Friday) and the manager also makes visits over weekends. Overnight there should always be one waking staff (10-8) and one member of staff on a mix of waking and sleeping duty (9-8). There is also an on-call arrangement for further advice and support should an emergency occur. Domestic staff are employed to do the cleaning, and the home has a dedicated chef. There was compliance with these staffing levels as described on the day of this inspection, although staffing rotas were not analysed on this occasion. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 19 An examination of three personnel files corroborated information supplied by the manager and staff, in the CSCI feedback exercise and in direct conversations with the inspector. All personnel files were in good order and provided good evidence of a systematic approach to recruitment, induction and training. Staff are given copies of the General Social Council Code of Practice as well the home’s own care manual, to ensure practice complies with the manager’s expectations and best practice standards. Each personnel file included training certificates, and confirmed a range of training opportunities, such as infection control, food safety, fire safety, medication and manual handling. More recently, training in Mental Capacity Act and palliative care have been added to the staff training programme to keep pace with emerging needs. The manager (who is an NVQ Assessor) reports that 75 of the team have obtained NVQ level 2 accreditation (or its equivalent), with a further 25 in prospect (this is judged exemplary practice), and feedback from the home’s NVQ trainer confirms a satisfactory level of investment. See section on “Management and Administration” for findings in respect of staff supervision. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 31, 32, 33, 34, 36, 37, 38 The home is well managed, and actively supports the resident’s independence, health, safety and welfare. EVIDENCE: Mrs Goldsmith has been able to demonstrate through the Commission’s own registration process that she has the relevant qualifications and experience for this role. She has NVQ Level 4 (Care and Registered Managers Award) accreditation and reports having updated her knowledge and skills with other relevant training courses. Feedback confirms that she has established a good relationship with the residents, staff, as well as social and healthcare professionals, and is reported to be very accessible and supportive. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 21 There are clear lines of accountability within the home, and the manager has a development plan in place for the current year. There is also a statement of unaudited accounts from a firm of Chartered Accountants to hand, as evidence of the home’s viability as well as the home’s own quality assurance feedback exercises. These arrangements all help ensure that the service is developed with the benefit of residents in mind. Records and feedback confirmed that staff have regular formal supervision from their line manager every two months, and the manager reports that there are annual appraisals. Feedback from the homes’ NVQ trainer confirms the manager’s report that policies and procedures are subject to a cycle of reviews, to ensure they comply with best practice standards. In terms of diversity and equal opportunities, all the current residents are white British – one is male and the others are female. The staff group is largely reflective – sixteen are female and two are male. One is Caribbean, but the rest are white British. There were no emerging issues to resolve in this respect. See section on “Environment” in respect of findings in respect of property maintenance records and “section on “Health and Personal Care” for findings in respect of risk assessments, all of which were judged in good order, to keep people safe. The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 X 3 3 3 The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations The home could usefully include in its admission procedure a checklist to certify the issue of its Statement of Purpose / Service User Guide and contract; and whether other languages or formats or photographs were warranted. Records should be maintained on the extent to which individuals participate in activities, so that the social care needs can be properly evaluated. One member of staff said she would like training activities and on motivating residents. Complaints Procedure. The owner/manager will need to remove its reference to the CSCI as the lead agency, once the new arrangements are publicised. Each bedroom should have two comfortable chairs – nonDS0000023567.V359487.R01.S.doc Version 5.2 Page 24 2 OP12 3 4 OP12 OP16 5 OP24 The Newlyn Residential Home provision should be justified by documented risk assessment or consultation The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Newlyn Residential Home DS0000023567.V359487.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!